Welcome to the Urban Corps San Diego County Job Training Program Application! - An Equal Opportunity Employer Learning, Earning & Conserving Since 1989

Urban Corps programs and activities shall be free from discrimination based on gender, sex, race, color, religion, ancestry, national origin, ethnic group identification, marital or parental status, physical or mental disability, sexual orientation or the perception of one or more of such characteristics.

STEP 1: Applicant Information:

Please fill out all questions to the best of your ability.
If you don't have all the requested information, please at a minimum make sure to leave a working phone number where we can contact you

NAME / PHONE / ADDRESS etc.:

1. Social Security #:  
2. Date of Birth:
  Age:
3. First Name:
  Last Name:   Middle Name:
4. Street Address:
Apt #:
5. City:
State: Zip:
6. Home Phone:
Cell Phone #:
Other Phone #:
  Select option for best phone
to reach between 8:00 am and 4:00 pm
7. Email Address:
 

REINSTAMENT / REFERRAL SOURCE:

8. Reinstatement application (skip if not enabled):

REINSTATEMENT QUESTIONAIRE (Required):

8a. Why did you leave the Urban Corps last time?
8b. Why do you want to come back?
8c. What will you do differently to ensure success in the program?
9.  Have you ever owrked for the CCC or Job Corps?:
10.  Who were you referred by?:
select
10a.  If referred by a Former/Current Corpsmember please specify:
10b.  Case Manager (If referred from other organization):
Case Manager Phone:

CORPS SITE / LOCATION:

11. Are you applying for the San Diego or the Escondido location?:

BACKGROUND INFORMATION:

12. Are you legally eligible to work in the US?:
13. Do you have a valid California Driver's license?
License #: Expiration Date: